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1235584558
DIVINE HEALTH CARE SERVICE
SHREVEPORT, LA
NPI
1235584558
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Entity Type
Organization
Authorized Contact
PATRICIA DICKERSON
Owner
318-869-1330
Organization Subpart ?
No
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2016-04-25
Last Update Date
2016-04-25
Business Address
DIVINE HEALTH CARE SERVICE
2940 YOUREE DR STEA
SHREVEPORT, LA 71104-3657
Phone number: 318-869-1330
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Mailing Address
DIVINE HEALTH CARE SERVICE
2940 YOUREE DR STEA
SHREVEPORT, LA 71104-3657
Phone number: 318-869-1330
Copy
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